Mental health nursing worksheet with answers

Which sequence describes the cycle of violence often seen in intimate partner abuse?

1. ATension-building, then a calm phase that lasts for the rest of the relationship
2. BReconciliation, acute violence, then tension-building with no further violence
3. CAcute violence, then permanent separation of the partners
4. DTension-building, acute violence, then reconciliation (the "honeymoon" phase)

A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?

1. ACatastrophising
2. BAll-or-nothing thinking
3. CMind reading
4. DPersonalisation

What is hoarding disorder?

1. APersistent difficulty throwing things away, so that clutter fills the living space
2. BRepeated checking that all the doors and windows are locked before leaving the house each day
3. CFear of leaving the home because of crowds and public transport
4. DCollecting a few favourite objects as a hobby that the person enjoys

A patient insists that the staff are poisoning his food. What is the best initial approach?

1. ATell him firmly that he will not be given any food until he stops making the accusation
2. BArgue logically until he admits he is wrong
3. CAgree with him so he trusts you
4. DAcknowledge his fear without arguing about the belief and focus on reality-based topics

Which treatment is recommended first-line for chronic insomnia in adults?

1. ACognitive behavioural therapy for insomnia (CBT-I)
2. BLong-term daily benzodiazepines
3. CStaying in bed for longer each morning
4. DDrinking alcohol in the evening to fall asleep

In a therapy group, one member talks constantly and interrupts others. What should the group leader do?

1. ACriticise the member in front of the whole group so that she learns to stay quiet
2. BAsk the member to leave the group permanently so that others can speak
3. CLet the member continue, because she has a lot to say
4. DAcknowledge the member's contribution and invite others to share their views

A patient taking valproate has severe abdominal pain spreading to her back, with nausea and vomiting. What should the nurse suspect?

1. ALithium toxicity
2. BSerotonin syndrome
3. CSimple indigestion
4. DPancreatitis

A nurse is teaching a patient who has started haloperidol for schizophrenia. Which statement shows a need for further teaching?

1. A"I should tell the nurse if my neck or jaw muscles feel stiff."
2. B"I should get up slowly if I feel dizzy."
3. C"I'll avoid alcohol while I'm taking this medicine."
4. D"I can stop taking it as soon as the voices go away."